Kathleen J. Caproni, Phd, Licensed Psychologist, Pllc | |
8 Sun Creek Ln Suite 1 Stone Ridge NY 12484-5639 | |
(845) 687-6341 | |
(914) 687-6341 |
Full Name | Kathleen J. Caproni, Phd, Licensed Psychologist, Pllc |
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Speciality | Psychologist |
Location | 8 Sun Creek Ln, Stone Ridge, New York |
Authorized Official Name and Position | Kathleen J Caproni (OWNER/MEMBER) |
Authorized Official Contact | 9142609818 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kathleen J. Caproni, Phd, Licensed Psychologist, Pllc 8 Sun Creek Ln Suite 1 Stone Ridge NY 12484-5639 Ph: (845) 687-6341 | Kathleen J. Caproni, Phd, Licensed Psychologist, Pllc 8 Sun Creek Ln Suite 1 Stone Ridge NY 12484-5639 Ph: (845) 687-6341 |
NPI Number | 1083081434 |
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Provider Enumeration Date | 09/01/2015 |
Last Update Date | 09/01/2015 |
Medicare PECOS PAC ID | 2062722846 |
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Medicare Enrollment ID | O20151106000640 |
Identifier | Type | State | Issuer |
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1083081434 | NPI | - | NPPES |
11235593 | Other | NY | CAQH |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 012254-1 (New York) | Primary |
Provider Name | Kathleen J Caproni |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245390103 PECOS PAC ID: 6507176385 Enrollment ID: I20151106000741 |
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